โปรแกรมการประยุกต์ใช้ทฤษฎีพฤติกรรมตามแผนในการส่งเสริมความตั้งใจ ในการละเว้นพฤติกรรมที่นำไปสู่การมีเพศสัมพันธ์ในวัยรุ่นหญิงตอนต้น

Suphawadee   Kunsuwan; Patcharaporn   Kerdmongkol; Kwanjai   Amnatsatsue; Arpaporn   Powwattana

Authors

Suphawadee Kunsuwan Faculty of Public Health, Mahidol University
Patcharaporn Kerdmongkol Faculty of Public Health, Mahidol University
Kwanjai Amnatsatsue Faculty of Public Health, Mahidol University
Arpaporn Powwattana Faculty of Public Health, Mahidol University

Keywords:

intention to behavior, abstinence from sexual behavior, early female adolescents

Abstract

Introduction: The changing social environment has impacted tremendously on adolescents leading to early and unsafe sexual intercourse which further resulted in premarital sexual relation, unsafe sex, and sexual transmitted diseases.

Research objectives: To investigate attitudes, subjective norms, and perceived self-control ability, and intention related to abstinence from sexual behaviors, and abstinence from sexual behaviors among adolescents before and after receiving the program.

Research methodology: This was a quasi-experimental study with a 2-group pre-test and post-test design. Participants included female students aged 11-13 years. Thirty-three participants were assigned to the comparison group and thirty to the experimental group. Participants in the experimental group received the program once a week for 6 weeks. Topics in the intervention focused on health education, including sexual health behaviors in adolescents, sexual risk behaviors and risk behaviors leading to premarital sex, impacts and ways to avoid premarital sex. Group discussions were conducted to explore problems and obstacles, pros and cons, and plan and target, decision making skill and problem solution, negotiations, and refusal skill to premarital sex. Data were analysed using percentage, mean and standard deviation, chi-square test, and t-test.

Results: Findings showed that at follow-up, the experimental group had a significant higher average score of attitudes toward sexual health behaviors, subjective norms, and sexual abstinence behaviors than at baseline; and also greater than the comparison group (p<.05). Additionally, at follow-up, the experimental group had a significant greater average score of perceived self-control ability, and intention of sexual abstinence leading to premarital sex than at baseline; and also higher than the comparison group (p<.05).

Conclusions: The program helps to promote the participants’ attitudes, subjective norms, perceived self-control ability, intention of sexual abstinence leading to premarital sex, and sexual abstinence behavior among students.

Implications: Healthcare professions can use this program as a guideline to promote sexual healthcare service in early female adolescents to prevent inappropriate sexual behavior and lessen premarital sexual intercourse.

Downloads

Download data is not yet available.

References

Reproductive Health Division, Department of Health, Ministry of Public Health. Reproductive health situation in adolescents and youth 2019 [Internet]. 2020 [Cited 2021 June 6]. Available from: https://rh.anamai.moph.go.th/th/cms-of-1 (in Thai)

Powwattana A. Health building and disease prevention in adolescents, health promotion and prevention of disease in the community application of concepts and theories into practice. 3rd ed. Bangkok: Nana Publishing House, Klang Wittaya; 2009. p. 162-185. (in Thai)

Khumtorn L. “How to prevent unwanted teenage pregnany?”. Journal of Boromarajonani College of Nursing Bangkok. 2014. 30(3):97-105. (in Thai)

Kingmala C, Rawiworrakul T, Powwattana A. Effect of a pregnancy program for female adolescents. Journal of Boromarajonani College of Nursing, Bangkok. 2015;31(3):25-34. (in Thai)

Surasathienkul P, Banchonhatkit P. (2015). Strengthening life skills in conjunction with group processes. and reinforcement to prevent premature sex in grade 6 students, Research and Development Journal Health system. Kalasin Provincial Public Health Office.8(2):17-24 (in Thai)

Bunnag R, Termsirikulchai L, Watthanasomboon P and Phaowatana A. Effectiveness of life skills program for preventive sexual risk behaviors of secondary school students, Nakhon Pathom province. Journal of Public Health Vol. 2013;43(1):80-93. (in Thai)

Ajzen I. The theory of pland behavior organizational behavior and human descision processes [Internet]. 1991. [Cited 2018 June 2]. Available from: httpp://www.people.umass.edu/aizen/obhdp.html

Taikanong K. The factors influencing the intention of sexual risk behavior among high School Students. Christian university of Thailand journal 2011;17(1):168-77. (in Thai).

Reproductive Health Division, Department of Health, Ministry of Public Health. Reproductive health service, handbook for health workers. Bangkok: 2015 (in Thai)

Department of Mental Health, Ministry of Public Health. Handbook for promoting student mental health for teachers .8th ed. Bangkok: The Veterans Synthesis Organization Press; 2003. (in Thai)

Kaweewong N, Srisuriyawet R, Homsin P. Factors influencing youth’s intention to seek care for sexual and reproductive health in Rayong province. Faculty of Nursing Journal Burapha University 2012; 20(4):33-45. (in Thai)

Tisak K. The effect of a self-efficacy promoting program by peer leaders on sexual health promoting behaviors of early adolescents. Journal of Nursing Public Health 2005;19(2):48-63. (in Thai).